Provider Demographics
NPI:1366321622
Name:MCIKECHI, YOUNG CHIDUZIEM
Entity type:Individual
Prefix:
First Name:YOUNG
Middle Name:CHIDUZIEM
Last Name:MCIKECHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-2662
Mailing Address - Country:US
Mailing Address - Phone:816-206-9217
Mailing Address - Fax:
Practice Address - Street 1:8811 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-2662
Practice Address - Country:US
Practice Address - Phone:816-206-9217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis